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SUNG IL PARK NP
NPI 1053996090
Nurse Practitioner - Family in New York, NY

Active since March 11, 2021
55 WATER ST FL 18, NEW YORK, NY 10041(347) 613-0039 Get Directions Write a Review

NPPES record last updated: December 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 5, 2025, Sep 5, 2025, Mar 11, 2021 (3 updates tracked since 2021).

About Sung Il Park Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUNG IL PARK NP (NPI 1053996090) is an individual family provider in New York, New York, licensed in New York (F342788) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1053996090
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameSUNG IL PARKCredential: NP
Location Address55 WATER ST FL 18New York, NY 10041-0055
Mailing Address55 Water St Fl 18New York, NY 10041-0055 · (347) 613-0039
Phone(347) 613-0039
Sole ProprietorNo
Enumeration DateMarch 11, 2021
Last NPPES UpdateDecember 5, 20253 updates tracked since enumeration
NPPES CertifiedDecember 5, 2025
✔ NPI 1053996090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · F342788
55 WATER ST FL 18, New York, NY 10041
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS REBECCA LAUREN GIUSTI M.D.
Family Medicine
55 WATER ST FL 18
NEW YORK, NY 10041
New York County (646) 614-0842
ALEXANDER S WELLER MD
Hospitalist
55 WATER ST FL 18
NEW YORK, NY 10041
New York County (347) 774-8000
MARIE L KOLOKOTSAS RN
Registered Nurse (General Practice)
55 WATER ST FL 18
NEW YORK, NY 10041
New York County (646) 614-7000
DR. RACHAEL ELIZABETH BEDARD M.D.
Student in an Organized Health Care Education/Training Program
55 WATER ST FL 18
NEW YORK, NY 10041
New York County (646) 614-0328
TRICIA BAUTISTA MD
Family Medicine (Addiction Medicine)
55 WATER ST FL 18
NEW YORK, NY 10041
New York County (510) 708-0921

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sung Il Park's NPI number?

The NPI number for Sung Il Park is 1053996090. It was assigned to this individual provider in the NPPES registry on March 11, 2021.

Where is Sung Il Park located?

Sung Il Park practices at 55 Water St Fl 18, New York, NY 10041. The listed phone number is (347) 613-0039.

What is Sung Il Park's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Sung Il Park was last updated on December 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.